A 10-kg toddler is fasted for orchidopexy. Maintenance fluid is required during a long delay before theatre. Sodium is 139 mmol/L and glucose is 4.8

Question

A 10-kg toddler is fasted for orchidopexy. Maintenance fluid is required during a long delay before theatre. Sodium is 139 mmol/L and glucose is 4.8 mmol/L. What is the most appropriate management?

Accepted Answer

Use isotonic maintenance fluid with glucose and monitor electrolytes

Answer

Avoid intravenous fluids until induction

Answer

Use 0.18% saline in 4% glucose for the full peri-operative period

Answer

Give colloid as maintenance fluid

Answer

Use 5% glucose without sodium to prevent ketosis

Paediatric peri-operative fluids — FRCA Final MCQ

A 10-kg toddler is fasted for orchidopexy. Maintenance fluid is required during a long delay before theatre. Sodium is 139 mmol/L and glucose is 4.8 mmol/L. What is the most appropriate management?